Reads as: riskier than 65.6% 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
20
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.6 vs natl
WILLIG ZACHARY
82 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
15 chains
WILLIG ZACHARY
81 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
5 chains
HEKIMIAN KHOREN
8 facilities
connection
Owner fleet enforcement cluster
60% fined
HENRY PAUL
10 facilities
connection
Owner fleet enforcement cluster
60% fined
FREGIA MILTON
10 facilities
connection
Owner fleet enforcement cluster
60% fined
GARDNER SHANNON
10 facilities
connection
Owner fleet enforcement cluster
60% fined
GARDZINA MARGARET
10 facilities
connection
Owner fleet enforcement cluster
56% fined
HEKIMIAN KHOREN
9 facilities
connection
Owner fleet enforcement cluster
51% fined
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
35 facilities
connection
Owner fleet enforcement cluster
51% fined
STRATTON CHARLES
35 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
48% fined
WILLIG ZACHARY
82 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
2.69
2.67
3.28
2.90–3.77
RN
0.13
0.24
0.39
0.25–0.58
Weekend total
2.49
2.56
3.11
—
Weekday total
2.77
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.2
2.69
0.13
0.96
1.60
2.49
0.0%
2025Q3
92
53.6
2.61
0.21
0.86
1.53
2.39
0.0%
2025Q2
91
52.5
2.77
0.14
0.93
1.69
2.58
0.0%
2025Q1
90
62.0
2.65
0.06
0.86
1.73
2.59
0.0%
2024Q4
92
64.0
2.63
0.04
0.84
1.74
2.48
0.0%
2024Q3
92
66.8
2.38
0.17
0.67
1.54
2.21
0.0%
2024Q2
91
67.0
2.30
0.16
0.69
1.45
2.12
0.0%
2024Q1
91
59.4
2.40
0.22
0.65
1.53
2.28
0.0%
2023Q4
92
58.1
2.52
0.17
0.75
1.59
2.47
0.0%
2023Q3
92
58.4
2.57
0.18
0.76
1.63
2.45
0.0%
2023Q2
91
60.5
2.50
0.14
0.84
1.52
2.40
0.0%
2023Q1
90
58.3
2.26
0.09
0.88
1.29
2.29
4.7%
2022Q4
92
57.1
2.25
0.08
0.94
1.23
2.22
4.5%
2022Q3
92
55.0
2.31
0.05
0.93
1.32
2.25
1.8%
2022Q2
91
55.3
1.95
0.08
0.81
1.06
2.00
2.7%
2022Q1
90
51.6
2.06
0.07
0.95
1.04
2.15
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.
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 × 21E × 7
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-25
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
2026-04-17
2026-03-25
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2026-03-26
2026-03-25
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
2026-04-16
2026-03-25
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-26
2026-03-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2026-03-26
2026-03-25
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2026-04-02
2026-03-25
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2026-03-26
2026-03-25
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-03-26
2026-03-25
Health
F0760
Ensure that residents are free from significant medication errors.
D
2026-03-26
2026-03-25
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
2026-03-26
2026-03-25
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
2026-03-26
2026-03-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-03-26
2026-03-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-03-26
2026-03-25
Health
F0924
Put firmly secured handrails on each side of hallways.
D
2026-03-26
2026-03-25
Health
F0926
Have policies on smoking.
D
2026-03-26
2025-08-13
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2025-08-14
2025-08-13
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-08-14
2025-08-13
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-08-14
2024-12-18
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-01-08
2024-12-18
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
2025-01-08
2024-12-18
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-08
2024-12-18
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-01-08
2024-10-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-10-07
2024-10-06
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-10-07
2024-10-06
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
2024-10-07
2024-05-21
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-05-22
2024-01-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-01-30
2023-11-15
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
2023-11-16
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
26
Owner
Role
Pct
From
Status
Source
LIBERTY COUNTY HOSPITAL DISTRICT NO.1
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-04-01
current
pecos_ownership
BLAKE, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
FREGIA, MILTON
MANAGING CONTROL - GOVERNING BODY
—
2022-05-07
current
pecos_ownership
GARDNER, SHANNON
MANAGING CONTROL - GOVERNING BODY
—
2022-08-22
current
pecos_ownership
GARDZINA, MARGARET
MANAGING CONTROL - GOVERNING BODY
—
2024-02-26
current
pecos_ownership
HEKIMIAN, KHOREN
ADP OF THE SNF
—
2025-04-11
current
pecos_ownership
HENRY, PAUL
MANAGING CONTROL - GOVERNING BODY
—
2009-05-09
current
pecos_ownership
HUGGINS, LINDA
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
—
—
2025-04-01
current
tx_hhsc_directory
STEPPS, LAURIE
ADP OF THE SNF
—
2025-04-11
current
pecos_ownership
STRATTON, CHARLES
MANAGING CONTROL - GOVERNING BODY
—
2005-05-01
current
pecos_ownership
TYLER II ENTERPRISES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
TYLER II ENTERPRISES, LLC
—
—
2025-04-01
current
tx_hhsc_directory
WILLIG, ZACHARY
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
GARY BLAKE
OPERATIONAL/MANAGERIAL CONTROL
50%
2022-04-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
50%
2022-04-01
ended 2026-05-18
pecos_ownership
CHARLES STRATTON
CORPORATE OFFICER
0%
2005-05-01
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
CORPORATE DIRECTOR
0%
2022-04-01
ended 2026-05-18
pecos_ownership
ZACHARY WILLIG
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
KHOREN HEKIMIAN
ADP OF THE SNF
—
2025-04-11
ended 2026-05-18
pecos_ownership
LAURIE STEPPS
ADP OF THE SNF
—
2025-04-11
ended 2026-05-18
pecos_ownership
MARGARET GARDZINA
MANAGING CONTROL - GOVERNING BODY
—
2024-02-26
ended 2026-05-18
pecos_ownership
MILTON FREGIA
MANAGING CONTROL - GOVERNING BODY
—
2022-05-07
ended 2026-05-18
pecos_ownership
PAUL HENRY
MANAGING CONTROL - GOVERNING BODY
—
2009-05-09
ended 2026-05-18
pecos_ownership
SHANNON GARDNER
MANAGING CONTROL - GOVERNING BODY
—
2022-08-22
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.
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 48423
acs median gross
0
$952
2024-12-31
CENSUS_ACS5
county 48423
fmr
0
$984
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
1
$992
2024-12-31
CENSUS_ACS5
county 48423
fmr
1
$1,089
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
2
$1,214
2024-12-31
CENSUS_ACS5
county 48423
fmr
2
$1,338
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
3
$1,506
2024-12-31
CENSUS_ACS5
county 48423
fmr
3
$1,793
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
4
$1,650
2024-12-31
CENSUS_ACS5
county 48423
fmr
4
$1,981
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
5
$1,355
2024-12-31
CENSUS_ACS5
county 48423
acs median gross
$1,238
2024-12-31
CENSUS_ACS5
county 48423
acs recent mover gross
$1,357
2024-12-31
CENSUS_ACS5
zcta 75702
acs median gross
0
$738
2024-12-31
CENSUS_ACS5
zcta 75702
acs median gross
1
$819
2024-12-31
CENSUS_ACS5
zcta 75702
acs median gross
2
$1,045
2024-12-31
CENSUS_ACS5
zcta 75702
acs median gross
3
$962
2024-12-31
CENSUS_ACS5
zcta 75702
acs median gross
4
$968
2024-12-31
CENSUS_ACS5
zcta 75702
acs median gross
$950
2024-12-31
CENSUS_ACS5
zcta 75702
acs recent mover gross
$1,004
2024-12-31
CENSUS_ACS5
zip 75702
payment standard 110
0
$990
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 90
0
$810
2025-10-01
HUD_USER_SAFMR
zip 75702
safmr
0
$900
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 75702
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 75702
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 110
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 90
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 75702
safmr
3
$1,600
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 110
4
$1,991
2025-10-01
HUD_USER_SAFMR
zip 75702
payment standard 90
4
$1,629
2025-10-01
HUD_USER_SAFMR
zip 75702
safmr
4
$1,810
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.