Reads as: riskier than 66.0% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
RANKIN RON
8 facilities
connection
Owner fleet enforcement cluster
44% fined
RANKIN RON
9 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 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
9
2025Q4 HPRD
This facility
TX median
National median
National p25–p75
Total nurse
4.85
2.67
3.28
2.90–3.77
RN
0.19
0.24
0.39
0.25–0.58
Weekend total
4.82
2.56
3.11
—
Weekday total
4.86
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
92.9
4.85
0.19
1.44
3.22
4.82
0.0%
2025Q3
92
89.6
5.11
0.20
1.46
3.45
5.00
0.0%
2025Q2
91
87.4
5.11
0.17
1.51
3.42
4.98
0.0%
2025Q1
90
90.1
4.84
0.15
1.51
3.18
4.82
0.0%
2024Q4
92
85.6
5.08
0.12
1.58
3.38
5.02
0.0%
2024Q3
92
86.4
4.88
0.09
1.56
3.23
4.85
0.0%
2024Q2
91
80.4
5.05
0.07
1.64
3.35
4.93
0.0%
2024Q1
91
81.4
4.99
0.09
1.59
3.31
4.91
0.0%
2023Q4
92
73.6
5.28
0.07
1.79
3.42
5.02
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-04-17
2026-02-12
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2026-02-19
2026-02-12
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2026-02-13
2026-02-12
Health
F0641
Ensure each resident receives an accurate assessment.
E
2026-03-02
2026-02-12
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2026-02-13
2026-02-12
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
2026-02-13
2026-02-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-13
2026-02-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-18
2025-02-24
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
2025-03-26
2024-12-05
Health · complaint
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
E
2024-12-06
2024-12-05
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2024-12-06
2024-12-05
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-01-04
2024-12-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-15
2024-12-05
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-10
2024-12-05
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
2024-12-20
2024-12-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-10
2024-04-02
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-05-03
2023-10-25
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-11-24
2023-10-25
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2023-10-26
2023-10-25
Health
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
2023-11-24
2023-10-25
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-11-24
2023-10-25
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2023-12-01
2023-10-25
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
2023-12-01
2023-10-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-11-24
2023-10-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-11-24
2023-10-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-27
2023-08-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-09-07
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
36
Owner
Role
Pct
From
Status
Source
BAPTIST COMMUNITY SERVICES
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-12-30
current
pecos_ownership
ANDERSON, DARRELL
CORPORATE DIRECTOR
—
2019-12-31
current
pecos_ownership
BAPTIST COMMUNITY SERVICES
—
—
2025-12-30
current
tx_hhsc_directory
BORDEN, PATRICK
CORPORATE DIRECTOR
—
2019-12-31
current
pecos_ownership
BOYKIN, LORI
CORPORATE DIRECTOR
—
2020-12-31
current
pecos_ownership
BYRD, ROBERT
CORPORATE DIRECTOR
—
2024-12-31
current
pecos_ownership
CARTWRIGHT, DONALD
CORPORATE DIRECTOR
—
2020-12-31
current
pecos_ownership
DUGGAN, BRAD
CORPORATE DIRECTOR
—
2020-12-31
current
pecos_ownership
HAMILTON, HENRY
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
HICKS, ANDY
CORPORATE DIRECTOR
—
2016-12-31
current
pecos_ownership
HOTMANN, MARK
CORPORATE DIRECTOR
—
2024-12-31
current
pecos_ownership
JONES, CHARLES
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
RANKIN, RON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-30
current
pecos_ownership
SHARP, STACY
CORPORATE DIRECTOR
—
2019-12-31
current
pecos_ownership
SINGLETON, KATHERINE
ADP OF THE SNF
—
2022-12-30
current
pecos_ownership
STILLMAN, MICHELLE
ADP OF THE SNF
—
2022-12-30
current
pecos_ownership
WARTES, MICHAEL
CORPORATE DIRECTOR
—
2017-12-31
current
pecos_ownership
YOUNG, MICHAEL
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
ZIMMER, RICHARD
CORPORATE DIRECTOR
—
2019-12-31
current
pecos_ownership
ANDY HICKS
CORPORATE DIRECTOR
8%
2016-12-31
ended 2026-05-18
pecos_ownership
BRAD DUGGAN
CORPORATE DIRECTOR
8%
2020-12-31
ended 2026-05-18
pecos_ownership
CHARLES JONES
CORPORATE DIRECTOR
8%
2021-12-31
ended 2026-05-18
pecos_ownership
DARRELL ANDERSON
CORPORATE DIRECTOR
8%
2019-12-31
ended 2026-05-18
pecos_ownership
DONALD CARTWRIGHT
CORPORATE DIRECTOR
8%
2020-12-31
ended 2026-05-18
pecos_ownership
HENRY HAMILTON
CORPORATE DIRECTOR
8%
2021-12-31
ended 2026-05-18
pecos_ownership
LORI BOYKIN
CORPORATE DIRECTOR
8%
2020-12-31
ended 2026-05-18
pecos_ownership
MARK HOTMANN
CORPORATE DIRECTOR
8%
2024-12-31
ended 2026-05-18
pecos_ownership
MICHAEL WARTES
CORPORATE DIRECTOR
8%
2017-12-31
ended 2026-05-18
pecos_ownership
MICHAEL YOUNG
CORPORATE DIRECTOR
8%
2021-12-31
ended 2026-05-18
pecos_ownership
PATRICK BORDEN
CORPORATE DIRECTOR
8%
2019-12-31
ended 2026-05-18
pecos_ownership
RICHARD ZIMMER
CORPORATE DIRECTOR
8%
2019-12-31
ended 2026-05-18
pecos_ownership
ROBERT BYRD
CORPORATE DIRECTOR
8%
2024-12-31
ended 2026-05-18
pecos_ownership
STACY SHARP
CORPORATE DIRECTOR
8%
2019-12-31
ended 2026-05-18
pecos_ownership
KATHERINE SINGLETON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-30
ended 2026-05-18
pecos_ownership
MICHELLE STILLMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-30
ended 2026-05-18
pecos_ownership
RON RANKIN
ADP OF THE SNF
—
2022-12-30
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,793,372
—
—
—
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 48375
acs median gross
0
$812
2024-12-31
CENSUS_ACS5
county 48375
fmr
0
$778
2025-10-01
HUD_USER_FMR
county 48375
acs median gross
1
$831
2024-12-31
CENSUS_ACS5
county 48375
fmr
1
$903
2025-10-01
HUD_USER_FMR
county 48375
acs median gross
2
$1,023
2024-12-31
CENSUS_ACS5
county 48375
fmr
2
$1,106
2025-10-01
HUD_USER_FMR
county 48375
acs median gross
3
$1,221
2024-12-31
CENSUS_ACS5
county 48375
fmr
3
$1,503
2025-10-01
HUD_USER_FMR
county 48375
acs median gross
4
$1,358
2024-12-31
CENSUS_ACS5
county 48375
fmr
4
$1,742
2025-10-01
HUD_USER_FMR
county 48375
acs median gross
$1,022
2024-12-31
CENSUS_ACS5
county 48375
acs recent mover gross
$1,036
2024-12-31
CENSUS_ACS5
zcta 79101
acs median gross
0
$654
2024-12-31
CENSUS_ACS5
zcta 79101
acs median gross
1
$894
2024-12-31
CENSUS_ACS5
zcta 79101
acs median gross
2
$941
2024-12-31
CENSUS_ACS5
zcta 79101
acs median gross
3
$1,696
2024-12-31
CENSUS_ACS5
zcta 79101
acs median gross
$946
2024-12-31
CENSUS_ACS5
zip 79101
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 79101
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 110
1
$946
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 90
1
$774
2025-10-01
HUD_USER_SAFMR
zip 79101
safmr
1
$860
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 110
2
$1,155
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 90
2
$945
2025-10-01
HUD_USER_SAFMR
zip 79101
safmr
2
$1,050
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 79101
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 110
4
$1,837
2025-10-01
HUD_USER_SAFMR
zip 79101
payment standard 90
4
$1,503
2025-10-01
HUD_USER_SAFMR
zip 79101
safmr
4
$1,670
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.