Reads as: riskier than 79.5% 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
7
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.3 vs natl
TUTERA JOSEPH
22 facilities
connection
Owner fleet risk far above national
+27.2 vs natl
WALNUT CREEK MANAGEMENT COMPANY LLC
22 facilities
connection
Owner fleet risk far above national
+27.0 vs natl
GANNON JEFF
6 facilities
connection
Owner fleet risk far above national
+26.8 vs natl
BROOKS KILEY
29 facilities
connection
Owner fleet enforcement cluster
59% fined
TUTERA JOSEPH
22 facilities
connection
Owner fleet enforcement cluster
48% fined
BROOKS KILEY
29 facilities
connection
Owner fleet enforcement cluster
46% fined
WALNUT CREEK MANAGEMENT COMPANY LLC
22 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
15
2025Q4 HPRD
This facility
KS median
National median
National p25–p75
Total nurse
3.43
3.03
3.28
2.90–3.77
RN
0.48
0.44
0.39
0.25–0.58
Weekend total
3.38
2.87
3.11
—
Weekday total
3.45
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.9
3.43
0.48
1.06
1.89
3.38
4.0%
2025Q3
92
38.0
3.29
0.44
1.07
1.78
3.12
2.2%
2025Q2
91
34.4
3.49
0.53
1.31
1.65
3.14
5.1%
2025Q1
90
36.9
3.50
0.47
1.09
1.94
3.27
13.6%
2024Q4
92
34.7
3.80
0.51
1.17
2.12
3.60
4.8%
2024Q3
92
35.7
3.76
0.47
1.09
2.20
3.51
4.2%
2024Q2
91
36.9
3.69
0.48
1.04
2.18
3.51
7.3%
2023Q4
92
36.0
3.67
0.47
1.05
2.15
3.48
27.7%
2023Q3
92
31.5
3.85
0.66
0.97
2.22
3.57
23.5%
2023Q2
91
30.3
4.05
0.80
0.98
2.27
3.70
25.4%
2023Q1
90
39.0
3.68
0.64
0.95
2.09
3.51
40.9%
2022Q4
92
33.2
3.93
0.66
1.05
2.22
3.78
37.8%
2022Q3
92
35.8
3.83
0.91
0.75
2.16
3.65
41.3%
2022Q2
91
34.9
3.91
0.74
0.91
2.26
3.59
50.9%
2022Q1
90
36.8
4.65
0.56
0.99
3.09
4.15
51.9%
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 basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2025-11-27
2023-10-25
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2023-11-28
2023-10-25
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-11-28
2023-10-25
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-28
2023-10-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-28
2023-10-25
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-11-28
2023-10-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-11-28
2023-10-25
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-11-28
2023-10-25
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2023-11-28
2023-10-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-11-28
2023-10-25
Health · complaint
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.
E
2023-11-28
2023-10-25
Health
F0779
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
D
2023-11-28
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
2023-11-28
2023-10-25
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-11-28
2022-02-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-03-09
2022-02-17
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2022-03-09
2022-02-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-03-09
2022-02-17
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-03-09
2022-02-17
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2022-03-09
2022-02-17
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
2022-03-09
2022-02-17
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2022-03-09
2022-02-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-03-09
2022-02-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-03-09
2020-07-30
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2020-08-24
2020-07-30
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2020-08-24
2020-07-30
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2020-08-24
2020-07-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-08-24
2020-07-30
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2020-08-24
2020-07-30
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2020-08-24
2020-07-30
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2020-08-24
2020-07-30
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2020-08-24
2020-07-30
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
2020-08-24
2020-07-30
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2020-08-24
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
16
Owner
Role
Pct
From
Status
Source
IPM INC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
IPM INC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
THE VILLAGE AT MISSION PROPERTY
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
THE VILLAGE AT MISSION PROPERTY
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
THE VILLAGE AT MISSION PROPERTY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2021-06-01
current
pecos_ownership
BROOKS, KILEY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
GANNON, JEFF
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
TUTERA, JOSEPH
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
WALNUT CREEK MANAGEMENT COMPANY LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
IPM INC
Corporation, partnership or other organization has financial interest in provider
100%
2021-06-01
ended 2021-12-31
hcris_a_8_1
IPM INC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
THE VILLAGE AT MISSION PROPERTY
Corporation, partnership or other organization has financial interest in provider
100%
2021-06-01
ended 2021-12-31
hcris_a_8_1
THE VILLAGE AT MISSION PROPERTY
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
JOSEPH TUTERA
CORPORATE DIRECTOR
10%
2021-06-01
ended 2026-05-18
pecos_ownership
JEFF GANNON
CORPORATE OFFICER
5%
2021-06-01
ended 2026-05-18
pecos_ownership
KILEY BROOKS
CORPORATE OFFICER
5%
2021-06-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,697,824
$1,615
—
$500
$421,592
18
propco
2023-12-31
$1,647,459
—
—
$6,541
$7,156
18
propco
2022-12-31
$1,549,997
—
—
$1,606
$47,425
19
propco
2021-12-31
$722,084
—
—
—
—
13
propco
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 20091
acs median gross
0
$1,209
2024-12-31
CENSUS_ACS5
county 20091
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
1
$1,236
2024-12-31
CENSUS_ACS5
county 20091
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
2
$1,485
2024-12-31
CENSUS_ACS5
county 20091
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
3
$1,802
2024-12-31
CENSUS_ACS5
county 20091
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
4
$2,110
2024-12-31
CENSUS_ACS5
county 20091
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 20091
acs median gross
$1,434
2024-12-31
CENSUS_ACS5
county 20091
acs recent mover gross
$1,509
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
1
$1,363
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
2
$1,630
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
3
$1,815
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
4
$2,773
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
5
$1,639
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
$1,767
2024-12-31
CENSUS_ACS5
zcta 66208
acs recent mover gross
$1,642
2024-12-31
CENSUS_ACS5
zip 66208
payment standard 110
0
$1,672
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
0
$1,368
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
0
$1,520
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 110
1
$1,837
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
1
$1,503
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
1
$1,670
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 110
2
$2,079
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
2
$1,701
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
2
$1,890
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 110
3
$2,706
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
3
$2,214
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
3
$2,460
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 110
4
$3,223
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
4
$2,637
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
4
$2,930
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.