Reads as: riskier than 29.3% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.0 vs natl
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
30 facilities
connection
Owner fleet risk far above national
+21.8 vs natl
BYROM DAVID
29 facilities
connection
Owner fleet enforcement cluster
41% fined
BYROM DAVID
29 facilities
connection
Owner fleet enforcement cluster
40% fined
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
30 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
TX median
National median
National p25–p75
Total nurse
3.04
2.67
3.28
2.90–3.77
RN
0.17
0.24
0.39
0.25–0.58
Weekend total
3.04
2.56
3.11
—
Weekday total
3.04
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
105.3
3.04
0.17
0.83
2.04
3.04
0.0%
2025Q3
92
105.2
2.84
0.22
0.73
1.89
2.80
0.1%
2025Q2
91
112.0
2.67
0.25
0.65
1.77
2.60
0.1%
2025Q1
90
105.2
2.84
0.23
0.76
1.85
2.72
0.1%
2024Q4
92
103.8
3.12
0.27
0.83
2.02
2.91
0.6%
2024Q3
92
108.5
3.03
0.22
0.77
2.04
2.98
2.1%
2024Q2
91
106.3
3.03
0.12
0.88
2.03
2.94
3.1%
2024Q1
91
101.7
3.20
0.10
0.98
2.13
3.00
15.3%
2023Q4
92
92.0
3.60
0.13
1.05
2.43
3.44
26.8%
2023Q3
92
95.2
3.33
0.18
0.94
2.21
3.33
30.0%
2023Q2
91
84.3
3.22
0.20
0.99
2.03
3.18
25.1%
2023Q1
90
80.1
3.48
0.18
0.80
2.50
3.53
24.5%
2022Q4
92
85.1
2.99
0.12
0.71
2.17
2.99
23.1%
2022Q3
92
87.9
3.04
0.18
0.60
2.25
3.10
19.4%
2022Q2
91
85.0
4.77
0.17
1.31
3.29
5.16
62.7%
2022Q1
90
82.0
3.25
0.23
0.85
2.17
3.17
13.6%
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
28
D × 12E × 8F × 4G × 2J × 1K × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-19
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-09
2025-12-31
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-02-02
2025-12-31
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2026-02-02
2025-12-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-02
2025-12-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-02
2025-08-15
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2025-08-17
2025-06-24
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-07-11
2025-06-24
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2025-07-11
2025-05-06
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-05-10
2025-04-08
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
K
2025-05-16
2025-03-28
Health · complaint
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-04-14
2025-03-19
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-12
2025-03-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-04-12
2025-03-19
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-04-12
2024-06-13
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-06-14
2024-06-13
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-14
2024-05-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-06-12
2024-05-25
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-12
2024-01-22
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-02-06
2023-08-02
Health
F0583
Keep residents' personal and medical records private and confidential.
G
2023-08-03
2023-08-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-08-03
2023-08-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2023-08-03
2023-08-02
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-08-11
2023-06-26
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-28
2023-06-09
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-05-06
2022-06-23
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2022-06-24
2022-06-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-06-24
2022-06-23
Health
F0908
Keep all essential equipment working safely.
F
2022-07-08
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
18
Owner
Role
Pct
From
Status
Source
BYROM, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2018-12-01
current
pecos_ownership
BYROM, DAVID
CORPORATE DIRECTOR
—
2017-04-01
current
pecos_ownership
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
—
—
2026-08-03
current
tx_hhsc_directory
COOK, CATHERINE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-01
current
pecos_ownership
COOK, JACK
ADP OF THE SNF
—
2018-12-01
current
pecos_ownership
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
ADP OF THE SNF
—
2018-12-01
current
pecos_ownership
FLOWERS, ADAM
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
THOMASSON, DEBRA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
WOODGATE SENIOR CARE LLC
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
WOODGATE SENIOR CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-01
current
pecos_ownership
WOODGATE SENIOR CARE LLC DBA WESLEY WOODS
—
—
2026-04-01
current
tx_hhsc_directory
ADAM FLOWERS
ADP OF THE SNF
—
2023-04-01
ended 2026-05-18
pecos_ownership
CATHERINE COOK
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-01
ended 2026-05-18
pecos_ownership
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
—
—
2026-04-01
ended 2026-08-03
tx_hhsc_directory
DAVID BYROM
MANAGING CONTROL - GOVERNING BODY
—
2018-12-01
ended 2026-05-18
pecos_ownership
DAVID BYROM
CORPORATE DIRECTOR
—
2017-04-01
ended 2026-05-18
pecos_ownership
DEBRA THOMASSON
ADP OF THE SNF
—
2023-04-01
ended 2026-05-18
pecos_ownership
JACK COOK
ADP OF THE SNF
—
2018-12-01
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.
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
35
Geo
Kind
BR
Amount
As of
Source
county 48309
acs median gross
0
$861
2024-12-31
CENSUS_ACS5
county 48309
fmr
0
$850
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
1
$936
2024-12-31
CENSUS_ACS5
county 48309
fmr
1
$996
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
2
$1,171
2024-12-31
CENSUS_ACS5
county 48309
fmr
2
$1,240
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
3
$1,452
2024-12-31
CENSUS_ACS5
county 48309
fmr
3
$1,599
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
4
$1,492
2024-12-31
CENSUS_ACS5
county 48309
fmr
4
$1,644
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
5
$1,715
2024-12-31
CENSUS_ACS5
county 48309
acs median gross
$1,173
2024-12-31
CENSUS_ACS5
county 48309
acs recent mover gross
$1,295
2024-12-31
CENSUS_ACS5
zcta 76712
acs median gross
0
$1,239
2024-12-31
CENSUS_ACS5
zcta 76712
acs median gross
1
$1,046
2024-12-31
CENSUS_ACS5
zcta 76712
acs median gross
2
$1,337
2024-12-31
CENSUS_ACS5
zcta 76712
acs median gross
3
$1,758
2024-12-31
CENSUS_ACS5
zcta 76712
acs median gross
4
$3,133
2024-12-31
CENSUS_ACS5
zcta 76712
acs median gross
$1,427
2024-12-31
CENSUS_ACS5
zcta 76712
acs recent mover gross
$1,582
2024-12-31
CENSUS_ACS5
zip 76712
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 76712
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 110
1
$1,287
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 90
1
$1,053
2025-10-01
HUD_USER_SAFMR
zip 76712
safmr
1
$1,170
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 110
2
$1,606
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 90
2
$1,314
2025-10-01
HUD_USER_SAFMR
zip 76712
safmr
2
$1,460
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 110
3
$2,068
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 90
3
$1,692
2025-10-01
HUD_USER_SAFMR
zip 76712
safmr
3
$1,880
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 110
4
$2,123
2025-10-01
HUD_USER_SAFMR
zip 76712
payment standard 90
4
$1,737
2025-10-01
HUD_USER_SAFMR
zip 76712
safmr
4
$1,930
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.