Reads as: riskier than 53.9% 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
anomaly
Quarter-over-quarter staffing cliff
−37% QoQ
this facility
2026-07-29
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
OH median
National median
National p25–p75
Total nurse
3.46
3.24
3.28
2.90–3.77
RN
0.72
0.38
0.39
0.25–0.58
Weekend total
3.30
3.11
3.11
—
Weekday total
3.53
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
61.6
3.46
0.72
0.80
1.95
3.30
14.9%
2025Q3
92
60.3
2.42
0.52
0.54
1.36
2.35
13.2%
2025Q2
91
53.0
3.84
0.85
0.82
2.17
3.72
13.6%
2025Q1
90
56.1
3.68
0.96
0.64
2.08
3.52
17.0%
2024Q4
92
54.5
3.85
1.04
0.65
2.16
3.57
19.3%
2024Q3
92
56.7
2.57
0.79
0.36
1.42
2.37
17.4%
2024Q2
91
54.5
3.84
1.19
0.48
2.18
3.73
12.2%
2024Q1
91
55.4
3.83
1.08
0.59
2.15
3.75
4.9%
2023Q4
92
56.7
3.94
1.06
0.67
2.22
3.87
11.0%
2023Q3
92
45.3
4.13
1.14
0.66
2.34
4.09
7.9%
2023Q2
91
46.6
3.94
1.09
0.75
2.11
3.75
19.9%
2023Q1
90
47.2
4.13
1.12
0.74
2.27
4.04
21.9%
2022Q4
92
29.9
3.66
1.57
0.49
1.59
3.63
5.4%
2022Q3
92
30.2
3.30
1.59
0.56
1.16
3.19
1.0%
2022Q2
91
41.4
3.49
1.19
0.58
1.73
3.42
17.0%
2022Q1
90
52.0
3.98
0.98
0.64
2.36
3.79
43.1%
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
C × 1D × 6E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-22
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
C
2026-05-16
2026-04-22
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-05-16
2026-04-22
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2026-05-16
2026-04-22
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2026-05-16
2024-10-03
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-12-02
2023-10-06
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-07
2023-10-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-09-13
2022-10-20
Health
F0679
Provide activities to meet all resident's needs.
D
2022-11-30
2019-11-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-12-18
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
50
Owner
Role
Pct
From
Status
Source
BKD FM HOLDING COMPANY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2008-12-23
current
pecos_ownership
AMERICAN RETIREMENT CORPORATION
ADP OF THE SNF
—
2008-12-23
current
pecos_ownership
ARC WESTLAKE VILLAGE, INC
ADP OF THE SNF
—
2007-04-18
current
pecos_ownership
ASHER, JORDAN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
BROOKDALE SENIOR LIVING INC
ADP OF THE SNF
—
2008-12-23
current
pecos_ownership
DRAYTON, CLAUDIA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
FIORAVANTI, MARK
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
FREED, VICTORIA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
GENDICS, AUGUSTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-28
current
pecos_ownership
HAUSMAN, JOSHUA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
JONES LANG LASALLE INCORPORATED
5% OR GREATER MORTGAGE INTEREST
—
2017-08-31
current
pecos_ownership
KAESTNER, HENRY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
current
pecos_ownership
KAESTNER, HENRY
MANAGING CONTROL - GOVERNING BODY
—
2022-03-21
current
pecos_ownership
KAESTNER, HENRY
INDIRECT OWNERSHIP INTEREST
—
2025-04-30
current
pecos_ownership
KUSSOW, DAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-15
current
pecos_ownership
KUSSOW, DAWN
INDIRECT OWNERSHIP INTEREST
—
2025-04-30
current
pecos_ownership
LA MARRE, KEVIN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-24
current
pecos_ownership
LA MARRE, KEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-22
current
pecos_ownership
LBMC PC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
MACE, ELIZABETH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
MUNOZ, ANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
current
pecos_ownership
NALL, SUZANNE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
OLSON, ARDELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
PANWAR, RITURAJ
ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
PANWAR, RITURAJ
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
STENGLE, NIKOLAS
MANAGING CONTROL - GOVERNING BODY
—
2025-11-08
current
pecos_ownership
WALTERS FINANCIAL SERVICES INC
ADP OF THE SNF
—
2025-07-22
current
pecos_ownership
WARREN, DENISE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
WHITE, CHADWICK
INDIRECT OWNERSHIP INTEREST
—
2025-04-30
current
pecos_ownership
WHITE, CHADWICK
CORPORATE OFFICER
—
2018-03-09
current
pecos_ownership
WIELANSKY, LEE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
ZRAIK, BASSEM
ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
ZRAIK, BASSEM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
DAWN KUSSOW
INDIRECT OWNERSHIP INTEREST
1%
2025-04-30
ended 2026-05-18
pecos_ownership
CHADWICK WHITE
INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
ANNA MUNOZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
ended 2026-05-18
pecos_ownership
ARDELLE OLSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
AUGUSTINE GENDICS
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-28
ended 2026-05-18
pecos_ownership
BASSEM ZRAIK
ADP OF THE SNF
—
2025-09-24
ended 2026-05-18
pecos_ownership
BASSEM ZRAIK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
CHADWICK WHITE
MANAGING CONTROL - GOVERNING BODY
—
2018-03-09
ended 2026-05-18
pecos_ownership
DAWN KUSSOW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-15
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
MANAGING CONTROL - GOVERNING BODY
—
2022-03-21
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
ended 2026-05-18
pecos_ownership
KEVIN LA MARRE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-22
ended 2026-05-18
pecos_ownership
NIKOLAS STENGLE
MANAGING CONTROL - GOVERNING BODY
—
2025-11-08
ended 2026-05-18
pecos_ownership
RITURAJ PANWAR
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
RITURAJ PANWAR
ADP OF THE SNF
—
2025-09-24
ended 2026-05-18
pecos_ownership
SUZANNE NALL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
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
$1,393,532
—
$1,393,532
—
—
2
—
2023-12-31
$1,280,708
—
$1,280,708
—
—
2
—
2022-12-31
$1,141,708
—
$1,141,708
—
—
2
—
2021-12-31
$1,276,593
—
$1,276,593
—
—
2
—
2020-12-31
$1,040,396
—
$1,040,396
—
—
2
—
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 39035
acs median gross
0
$792
2024-12-31
CENSUS_ACS5
county 39035
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
1
$859
2024-12-31
CENSUS_ACS5
county 39035
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
2
$1,106
2024-12-31
CENSUS_ACS5
county 39035
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39035
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
4
$1,442
2024-12-31
CENSUS_ACS5
county 39035
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
5
$1,548
2024-12-31
CENSUS_ACS5
county 39035
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
county 39035
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
0
$1,733
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
1
$1,569
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
2
$1,505
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
3
$1,609
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
4
$2,262
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
5
$1,900
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
$1,570
2024-12-31
CENSUS_ACS5
zcta 44145
acs recent mover gross
$1,747
2024-12-31
CENSUS_ACS5
zip 44145
payment standard 110
0
$1,408
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
0
$1,152
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
0
$1,280
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 110
1
$1,606
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
1
$1,314
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
1
$1,460
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 110
2
$1,936
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
2
$1,760
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 110
3
$2,486
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
3
$2,034
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
3
$2,260
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 110
4
$2,662
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
4
$2,420
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.