Reads as: riskier than 42.2% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
PLANTE MORAN PLLC
55 facilities
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 facilities
connection
Owner spans multiple chains
5 chains
FIFTH THIRD BANK
15 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
OH median
National median
National p25–p75
Total nurse
4.38
3.24
3.28
2.90–3.77
RN
0.53
0.38
0.39
0.25–0.58
Weekend total
4.24
3.11
3.11
—
Weekday total
4.44
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
36.6
4.38
0.53
1.79
2.07
4.24
17.7%
2025Q3
92
35.8
4.35
0.49
1.84
2.02
4.23
12.6%
2025Q2
91
36.7
4.31
0.62
1.81
1.88
4.19
9.0%
2025Q1
90
38.4
4.04
0.60
1.75
1.69
4.10
0.3%
2024Q4
92
35.5
4.45
0.65
1.90
1.90
4.53
0.0%
2024Q3
92
36.8
4.45
0.60
1.99
1.87
4.45
0.0%
2024Q2
91
35.8
4.30
0.54
2.02
1.73
4.40
3.4%
2024Q1
91
34.7
4.28
0.64
1.89
1.75
4.16
7.6%
2023Q4
92
33.2
4.44
0.72
2.00
1.72
4.63
10.7%
2023Q3
92
31.8
4.32
0.61
1.95
1.77
4.41
9.4%
2023Q2
91
34.4
3.97
0.58
1.80
1.60
3.77
13.5%
2023Q1
90
36.6
3.97
0.64
1.74
1.60
3.76
19.2%
2022Q4
92
35.8
3.96
0.66
1.59
1.72
3.72
29.8%
2022Q3
92
33.6
3.59
0.72
1.55
1.32
3.21
10.5%
2022Q2
91
31.8
3.63
0.92
1.52
1.19
3.18
11.9%
2022Q1
90
32.0
4.20
0.90
1.86
1.45
3.86
30.3%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-12-13
2024-11-04
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-12-13
2024-11-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-13
2024-11-04
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-12-13
2024-11-04
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2024-12-13
2024-11-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-13
2024-11-04
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-12-13
2021-08-24
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2021-10-01
2021-08-24
Health
F0732
Post nurse staffing information every day.
C
2021-10-01
2021-08-24
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
2021-10-31
2021-08-24
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2021-10-31
2021-08-24
Health
F0760
Ensure that residents are free from significant medication errors.
D
2021-10-31
2021-08-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-10-31
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
57
Owner
Role
Pct
From
Status
Source
COMMUNITY FIRST SOLUTIONS
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-09-01
current
pecos_ownership
ABNER, PETE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
ARK WELLNESS CENTER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-21
current
pecos_ownership
BERRY, SHIRA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-19
current
pecos_ownership
CECERE, HEATHER
ADP OF THE SNF
—
2024-09-03
current
pecos_ownership
CHERRY BEKAERT LLP
ADP OF THE SNF
—
2024-05-31
current
pecos_ownership
COHEN, NEIL
TRUSTEE OF THE SNF
—
2019-01-01
current
pecos_ownership
EGLOFF, TIMOTHY
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
EGLOFF, TIMOTHY
TRUSTEE OF THE SNF
—
2024-01-01
current
pecos_ownership
FANT, WILLIAM
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
FIFTH THIRD BANK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
FIFTH THIRD BANK
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
HAMED, HUSAM
ADP OF THE SNF
—
2021-07-01
current
pecos_ownership
KIRKPATRICK, BRETT
CORPORATE DIRECTOR
—
2018-08-04
current
pecos_ownership
KIRSCH, JOHN
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
KRAUSE, BRIAN
CORPORATE OFFICER
—
2020-01-27
current
pecos_ownership
LAWRENCE, KELLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-18
current
pecos_ownership
LAWRENCE, KELLEY
ADP OF THE SNF
—
2013-02-18
current
pecos_ownership
LOVEBERRY, RAQUEL
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
MEDICINE INPATIENT GROUP LLC
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
MEDICINE INPATIENT GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-01
current
pecos_ownership
MILLER, ROBIN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
MULLIGAN, LAWRENCE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
OPPENHEIMER, RANDY
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
OPPENHEIMER, RANDY
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
PLANTE & MORAN PLLC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
SCHUSTER, ANDREW
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
SELECT REHABILITATION, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
current
pecos_ownership
WATSON, CHARMAINE
ADP OF THE SNF
—
2015-11-30
current
pecos_ownership
WEIGEL, ROBERT
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
WHALEN, JON
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
ZIEPFEL, NICHOLAS
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
ZIEPFEL, NICHOLAS
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
BRETT KIRKPATRICK
CORPORATE DIRECTOR
0%
2018-08-04
ended 2026-05-18
pecos_ownership
ANDREW SCHUSTER
TRUSTEE OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
BRIAN KRAUSE
CORPORATE OFFICER
—
2020-01-27
ended 2026-05-18
pecos_ownership
CHARMAINE WATSON
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-30
ended 2026-05-18
pecos_ownership
HEATHER CECERE
ADP OF THE SNF
—
2024-09-03
ended 2026-05-18
pecos_ownership
HUSAM HAMED
ADP OF THE SNF
—
2021-07-01
ended 2026-05-18
pecos_ownership
JOHN KIRSCH
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
JON WHALEN
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
KELLEY LAWRENCE
ADP OF THE SNF
—
2013-02-18
ended 2026-05-18
pecos_ownership
KELLEY LAWRENCE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-18
ended 2026-05-18
pecos_ownership
LAWRENCE MULLIGAN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
NEIL COHEN
TRUSTEE OF THE SNF
—
2019-01-01
ended 2026-05-18
pecos_ownership
NICHOLAS ZIEPFEL
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
NICHOLAS ZIEPFEL
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
PETE ABNER
TRUSTEE OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
RANDY OPPENHEIMER
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
RANDY OPPENHEIMER
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
RAQUEL LOVEBERRY
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
ROBERT WEIGEL
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
ROBIN MILLER
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
SHIRA BERRY
ADP OF THE SNF
—
2024-08-19
ended 2026-05-18
pecos_ownership
TIMOTHY EGLOFF
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
TIMOTHY EGLOFF
TRUSTEE OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
WILLIAM FANT
CORPORATE DIRECTOR
—
2021-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$697,049
—
$697,049
—
—
1
—
2024-06-30
$778,421
—
$778,421
—
—
1
—
2023-06-30
$1,129,695
—
$1,129,695
—
—
1
—
2022-06-30
$1,041,452
—
$1,041,452
—
—
1
—
2021-06-30
$1,446,841
—
$1,446,841
—
—
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 39017
acs median gross
0
$903
2024-12-31
CENSUS_ACS5
county 39017
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
1
$967
2024-12-31
CENSUS_ACS5
county 39017
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
2
$1,117
2024-12-31
CENSUS_ACS5
county 39017
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39017
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
4
$1,572
2024-12-31
CENSUS_ACS5
county 39017
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
5
$1,708
2024-12-31
CENSUS_ACS5
county 39017
acs median gross
$1,135
2024-12-31
CENSUS_ACS5
county 39017
acs recent mover gross
$1,296
2024-12-31
CENSUS_ACS5
zcta 45013
acs median gross
1
$775
2024-12-31
CENSUS_ACS5
zcta 45013
acs median gross
2
$999
2024-12-31
CENSUS_ACS5
zcta 45013
acs median gross
3
$1,115
2024-12-31
CENSUS_ACS5
zcta 45013
acs median gross
4
$1,429
2024-12-31
CENSUS_ACS5
zcta 45013
acs median gross
$995
2024-12-31
CENSUS_ACS5
zcta 45013
acs recent mover gross
$1,074
2024-12-31
CENSUS_ACS5
zip 45013
payment standard 110
0
$979
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 90
0
$801
2025-10-01
HUD_USER_SAFMR
zip 45013
safmr
0
$890
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 45013
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 110
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 90
2
$1,134
2025-10-01
HUD_USER_SAFMR
zip 45013
safmr
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 110
3
$1,826
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 90
3
$1,494
2025-10-01
HUD_USER_SAFMR
zip 45013
safmr
3
$1,660
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 110
4
$2,024
2025-10-01
HUD_USER_SAFMR
zip 45013
payment standard 90
4
$1,656
2025-10-01
HUD_USER_SAFMR
zip 45013
safmr
4
$1,840
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.