Reads as: riskier than 32.9% 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
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
MO median
National median
National p25–p75
Total nurse
3.53
2.41
3.28
2.90–3.77
RN
0.43
0.25
0.39
0.25–0.58
Weekend total
3.56
2.24
3.11
—
Weekday total
3.51
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
72.6
3.53
0.43
0.98
2.11
3.56
0.1%
2025Q3
92
77.7
3.34
0.34
1.00
2.01
3.25
1.3%
2025Q2
91
80.8
3.42
0.31
1.00
2.11
3.33
7.2%
2025Q1
90
82.5
3.31
0.33
0.95
2.03
3.32
11.1%
2024Q4
92
86.4
3.11
0.32
0.91
1.87
3.07
11.8%
2024Q3
92
82.9
3.07
0.35
0.92
1.80
3.02
10.0%
2024Q2
91
77.3
3.04
0.37
0.92
1.75
2.96
9.7%
2024Q1
91
80.4
2.85
0.40
0.80
1.66
2.74
10.4%
2023Q4
92
78.4
3.25
0.40
0.89
1.96
3.04
15.4%
2023Q3
92
75.6
3.92
0.44
1.05
2.43
3.72
16.1%
2023Q2
91
74.7
3.79
0.48
1.12
2.19
3.67
19.2%
2023Q1
90
65.8
3.91
0.51
1.19
2.22
4.07
15.0%
2022Q4
92
66.0
3.98
0.46
1.13
2.39
3.76
5.5%
2022Q3
92
64.0
3.59
0.34
1.15
2.11
3.25
7.8%
2022Q2
91
59.8
3.89
0.37
1.24
2.28
3.38
7.3%
2022Q1
90
62.2
4.20
0.31
1.32
2.56
3.83
10.1%
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
15
D × 13E × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-01
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-23
2024-07-18
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-08-18
2024-07-18
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-08-18
2024-07-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-08-18
2024-07-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-08-18
2024-07-18
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-08-18
2022-11-03
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-12-01
2022-11-03
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-12-01
2019-09-25
Health
F0551
Give the resident's representative the ability to exercise the resident's rights.
D
2019-10-30
2019-09-25
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
D
2019-10-30
2019-09-25
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2019-10-30
2019-09-25
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2019-10-30
2019-09-25
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-10-30
2019-09-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-10-30
2019-09-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2019-10-30
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
48
Owner
Role
Pct
From
Status
Source
BETHESDA HEALTH GROUP INC
ADP OF THE SNF
—
2025-09-02
current
pecos_ownership
BETHESDA HEALTH GROUP INC
OPERATIONAL/MANAGERIAL CONTROL
—
1999-07-08
current
pecos_ownership
BETHESDA LONG TERM CARE INC
ADP OF THE SNF
—
2000-06-30
current
pecos_ownership
BRINKER, JOSEPH
ADP OF THE SNF
—
2010-02-07
current
pecos_ownership
BRINKER, JOSEPH
CORPORATE OFFICER
—
2010-07-01
current
pecos_ownership
BRINKER, JOSEPH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-02
current
pecos_ownership
BYRNE, ROGER
OPERATIONAL/MANAGERIAL CONTROL
—
2014-02-10
current
pecos_ownership
COSBY, DARLENE
ADP OF THE SNF
—
2021-08-08
current
pecos_ownership
ELITE MEDICAL STAFFING GROUP LLC
ADP OF THE SNF
—
2017-12-12
current
pecos_ownership
ESTHER, JAMES
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
FALKER, FRED
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
HUTCHISON, PHILIP
CORPORATE OFFICER
—
2020-01-01
current
pecos_ownership
KELLER, JOSEPH
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
KIMBALL, MICHELE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-02-21
current
pecos_ownership
KLINGLER, KEVIN
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
MAYES, GARY
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
MCDONNELL, VERONICA
CORPORATE DIRECTOR
—
2025-04-25
current
pecos_ownership
MEIER, JOHN
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
MIDWEST STAFFING SOLUTIONS LLC
ADP OF THE SNF
—
2018-09-01
current
pecos_ownership
PEREGRIN, KIEL
CORPORATE OFFICER
—
2020-02-23
current
pecos_ownership
POPP, JENNIFER
ADP OF THE SNF
—
2025-01-31
current
pecos_ownership
REYNOLDS, CHRISTOPHER
ADP OF THE SNF
—
2025-01-31
current
pecos_ownership
ROLNICK, FELICE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-16
current
pecos_ownership
ROONEY, PATRICK
CORPORATE OFFICER
—
2026-01-01
current
pecos_ownership
ROWE, JOHN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
SELECT REHABILITATION, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-15
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
TEIBEL, SAMANTHA
CORPORATE DIRECTOR
—
2025-02-27
current
pecos_ownership
CHRISTOPHER REYNOLDS
ADP OF THE SNF
—
2025-01-31
ended 2026-05-18
pecos_ownership
DARLENE COSBY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-08
ended 2026-05-18
pecos_ownership
FELICE ROLNICK
ADP OF THE SNF
—
2024-02-16
ended 2026-05-18
pecos_ownership
FRED FALKER
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
GARY MAYES
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
JAMES ESTHER
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
JENNIFER POPP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-31
ended 2026-05-18
pecos_ownership
JOHN MEIER
CORPORATE OFFICER
—
2019-01-01
ended 2026-05-18
pecos_ownership
JOHN ROWE
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
JOSEPH BRINKER
ADP OF THE SNF
—
2010-02-07
ended 2026-05-18
pecos_ownership
JOSEPH BRINKER
CORPORATE DIRECTOR
—
2010-07-01
ended 2026-05-18
pecos_ownership
JOSEPH KELLER
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
KEVIN KLINGLER
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
KIEL PEREGRIN
CORPORATE OFFICER
—
2020-02-23
ended 2026-05-18
pecos_ownership
MICHELE KIMBALL
ADP OF THE SNF
—
2021-02-21
ended 2026-05-18
pecos_ownership
PATRICK ROONEY
CORPORATE OFFICER
—
2026-01-01
ended 2026-05-18
pecos_ownership
PHILIP HUTCHISON
CORPORATE OFFICER
—
2020-01-01
ended 2026-05-18
pecos_ownership
ROGER BYRNE
CORPORATE OFFICER
—
2014-02-10
ended 2026-05-18
pecos_ownership
SAMANTHA TEIBEL
CORPORATE DIRECTOR
—
2025-02-27
ended 2026-05-18
pecos_ownership
VERONICA MCDONNELL
CORPORATE DIRECTOR
—
2025-04-25
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
$3,223,658
—
—
—
—
1
—
2024-06-30
$2,664,034
—
—
—
—
1
—
2023-06-30
$2,231,110
—
—
—
—
1
—
2022-06-30
$2,266,454
—
—
—
—
1
—
2021-06-30
$2,502,089
—
—
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 29189
acs median gross
0
$1,067
2024-12-31
CENSUS_ACS5
county 29189
fmr
0
$955
2025-10-01
HUD_USER_FMR
county 29189
acs median gross
1
$995
2024-12-31
CENSUS_ACS5
county 29189
fmr
1
$995
2025-10-01
HUD_USER_FMR
county 29189
acs median gross
2
$1,216
2024-12-31
CENSUS_ACS5
county 29189
fmr
2
$1,218
2025-10-01
HUD_USER_FMR
county 29189
acs median gross
3
$1,446
2024-12-31
CENSUS_ACS5
county 29189
fmr
3
$1,568
2025-10-01
HUD_USER_FMR
county 29189
acs median gross
4
$1,742
2024-12-31
CENSUS_ACS5
county 29189
fmr
4
$1,812
2025-10-01
HUD_USER_FMR
county 29189
acs median gross
5
$1,850
2024-12-31
CENSUS_ACS5
county 29189
acs median gross
$1,209
2024-12-31
CENSUS_ACS5
county 29189
acs recent mover gross
$1,369
2024-12-31
CENSUS_ACS5
zcta 63129
acs median gross
0
$1,114
2024-12-31
CENSUS_ACS5
zcta 63129
acs median gross
1
$965
2024-12-31
CENSUS_ACS5
zcta 63129
acs median gross
2
$1,139
2024-12-31
CENSUS_ACS5
zcta 63129
acs median gross
3
$1,861
2024-12-31
CENSUS_ACS5
zcta 63129
acs median gross
4
$1,806
2024-12-31
CENSUS_ACS5
zcta 63129
acs median gross
$1,108
2024-12-31
CENSUS_ACS5
zcta 63129
acs recent mover gross
$1,191
2024-12-31
CENSUS_ACS5
zip 63129
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 63129
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 63129
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 63129
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 110
3
$1,694
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 90
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 63129
safmr
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 110
4
$1,969
2025-10-01
HUD_USER_SAFMR
zip 63129
payment standard 90
4
$1,611
2025-10-01
HUD_USER_SAFMR
zip 63129
safmr
4
$1,790
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.