Reads as: riskier than 92.2% 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
10
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+36.4 vs natl
THEMIS HEALTH MANAGEMENT LLC
9 facilities
connection
Owner fleet risk far above national
+34.9 vs natl
WYATT BRIAN
8 facilities
connection
Owner fleet risk far above national
+34.3 vs natl
HEARTHSTONE SENIOR COMMUNITIES INC
8 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
KANE FINANCIAL SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
CONSULTING SUPPORT SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
FACILITY SUPPORT COMPANY LLC
37 facilities
connection
Owner fleet risk far above national
+25.4 vs natl
JAFFE HOWARD
37 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
ROMBOLD LORI
11 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
GARNER ALVIN
11 facilities
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 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
FL median
National median
National p25–p75
Total nurse
2.83
3.42
3.28
2.90–3.77
RN
0.21
0.45
0.39
0.25–0.58
Weekend total
2.85
3.31
3.11
—
Weekday total
2.82
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
118.0
2.83
0.21
0.63
1.99
2.85
0.2%
2025Q3
92
111.5
2.98
0.32
0.55
2.11
2.94
0.7%
2025Q2
91
115.7
2.93
0.19
0.67
2.06
2.97
0.9%
2025Q1
90
110.9
2.90
0.16
0.69
2.06
2.98
0.0%
2024Q4
92
112.1
2.94
0.20
0.70
2.04
2.92
0.0%
2024Q3
92
111.0
2.83
0.13
0.72
1.99
2.87
0.0%
2024Q2
91
108.3
2.77
0.10
0.77
1.91
2.85
0.1%
2024Q1
91
110.7
2.88
0.06
0.81
2.00
2.91
0.1%
2023Q4
92
103.3
2.90
0.09
0.80
2.01
2.91
0.0%
2023Q3
92
107.8
2.90
0.11
0.80
1.99
2.91
0.0%
2023Q2
91
106.2
2.86
0.15
0.76
1.95
2.84
0.0%
2023Q1
90
106.2
2.86
0.17
0.70
1.98
2.78
0.0%
2022Q4
92
101.9
2.91
0.23
0.68
2.01
2.91
0.1%
2022Q3
92
101.9
2.96
0.18
0.76
2.03
2.99
0.0%
2022Q2
91
101.0
3.00
0.16
0.75
2.08
2.99
4.9%
2022Q1
90
103.7
3.38
0.28
0.70
2.39
3.38
26.7%
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-05-16
2025-04-11
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2025-06-29
2025-04-11
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
K
2025-05-29
2025-04-11
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
K
2025-05-29
2025-04-11
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2025-06-29
2025-01-14
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2025-02-14
2025-01-14
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-02-14
2025-01-14
Health · complaint
F0908
Keep all essential equipment working safely.
E
2025-02-14
2024-08-12
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-09-11
2023-09-28
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-10-28
2023-09-28
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-10-28
2023-09-28
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-10-28
2023-09-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-28
2023-09-28
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-10-28
2023-09-28
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
2023-10-28
2023-09-28
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-10-28
2023-09-28
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
E
2023-10-28
2023-09-28
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-10-28
2023-07-18
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-08-18
2021-08-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-09-19
2019-11-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-12-22
2019-11-22
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2019-12-22
2019-11-22
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
2019-12-22
2019-11-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2019-12-22
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
HEARTHSTONE SENIOR COMMUNITIES, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2009-04-01
current
pecos_ownership
LAKELAND HILLS REHABILITATION CENTER, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2009-04-01
current
pecos_ownership
BOWDEN, DESTINY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-14
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2011-06-28
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
ADP OF THE SNF
—
2025-03-24
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
ADP OF THE SNF
—
2025-03-24
current
pecos_ownership
GARNER, ALVIN
CORPORATE OFFICER
—
2009-04-01
current
pecos_ownership
JAFFE, HOWARD
CORPORATE OFFICER
—
2009-04-01
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-06
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
ADP OF THE SNF
—
2025-03-24
current
pecos_ownership
KUHLMEYER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-07
current
pecos_ownership
ROMBOLD, LORI
CORPORATE OFFICER
—
2009-04-01
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2016-08-19
current
pecos_ownership
THEMIS HEALTH MANAGEMENT, LLC
ADP OF THE SNF
—
2025-03-24
current
pecos_ownership
THEMIS HEALTH MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-09-01
current
pecos_ownership
WYATT, BRIAN
CORPORATE OFFICER
—
2009-04-01
current
pecos_ownership
ALVIN GARNER
CORPORATE OFFICER
0%
2009-04-01
ended 2026-05-18
pecos_ownership
BRIAN WYATT
CORPORATE OFFICER
0%
2009-04-01
ended 2026-05-18
pecos_ownership
HOWARD JAFFE
CORPORATE OFFICER
0%
2009-04-01
ended 2026-05-18
pecos_ownership
LORI ROMBOLD
CORPORATE OFFICER
0%
2009-04-01
ended 2026-05-18
pecos_ownership
DESTINY BOWDEN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-14
ended 2026-05-18
pecos_ownership
RICHARD KUHLMEYER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-07
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
$173,311
—
—
—
—
1
—
2023-12-31
$210,426
—
—
—
—
1
—
2022-12-31
$201,556
—
—
—
—
1
—
2021-12-31
$201,474
—
—
—
—
1
—
2020-12-31
$155,207
—
—
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 12105
acs median gross
0
$1,033
2024-12-31
CENSUS_ACS5
county 12105
fmr
0
$1,226
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
1
$1,044
2024-12-31
CENSUS_ACS5
county 12105
fmr
1
$1,230
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
2
$1,242
2024-12-31
CENSUS_ACS5
county 12105
fmr
2
$1,497
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
3
$1,644
2024-12-31
CENSUS_ACS5
county 12105
fmr
3
$2,023
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
4
$2,115
2024-12-31
CENSUS_ACS5
county 12105
fmr
4
$2,511
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
5
$1,815
2024-12-31
CENSUS_ACS5
county 12105
acs median gross
$1,363
2024-12-31
CENSUS_ACS5
county 12105
acs recent mover gross
$1,718
2024-12-31
CENSUS_ACS5
zcta 33805
acs median gross
0
$914
2024-12-31
CENSUS_ACS5
zcta 33805
acs median gross
1
$1,303
2024-12-31
CENSUS_ACS5
zcta 33805
acs median gross
2
$1,149
2024-12-31
CENSUS_ACS5
zcta 33805
acs median gross
3
$1,595
2024-12-31
CENSUS_ACS5
zcta 33805
acs median gross
4
$2,538
2024-12-31
CENSUS_ACS5
zcta 33805
acs median gross
5
$1,422
2024-12-31
CENSUS_ACS5
zcta 33805
acs median gross
$1,232
2024-12-31
CENSUS_ACS5
zcta 33805
acs recent mover gross
$1,571
2024-12-31
CENSUS_ACS5
zip 33805
payment standard 110
0
$1,320
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 90
0
$1,080
2025-10-01
HUD_USER_SAFMR
zip 33805
safmr
0
$1,200
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 110
1
$1,320
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 90
1
$1,080
2025-10-01
HUD_USER_SAFMR
zip 33805
safmr
1
$1,200
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 110
2
$1,606
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 90
2
$1,314
2025-10-01
HUD_USER_SAFMR
zip 33805
safmr
2
$1,460
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 110
3
$2,167
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 90
3
$1,773
2025-10-01
HUD_USER_SAFMR
zip 33805
safmr
3
$1,970
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 110
4
$2,695
2025-10-01
HUD_USER_SAFMR
zip 33805
payment standard 90
4
$2,205
2025-10-01
HUD_USER_SAFMR
zip 33805
safmr
4
$2,450
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.